Full Description
Median Arcuate Ligament Syndrome (MALS) is a rare and poorly understood disease that affects many individuals worldwide. Patients with MALS present with debilitating epigastric abdominal pain, a fear of eating (sitophobia), nausea, vomiting and a poor quality of life. Patients are typically younger, with the vast majority of patients being female (80-90%). Patients may present with significant weight loss after a prolonged time to establish the diagnosis.
This unique text provides a comprehensive review of MALS and is a valuable resource for physicians and researchers hoping to better understand and manage MALS. It sheds new light on recent advancements, including the neurogenic nature of this syndrome, adoption of minimally invasive surgery for treatment, and the associated conditions that make treating the patient so challenging. Another area this book explores is the value of neurolysis alone versus celiac ganglion resection. The book reviews new data about the different surgical approaches to MALS in relation to nerve resection as well as laparoscopic and robotic approaches to surgery, highlighting the complex diagnostic work-up that is needed to accurately diagnose MALS and, more importantly, to rule out more common conditions that may mimic MALS.
Contents
The History and Evolution of Treatment Modalities for Median Arcuate Ligament Syndrome.- Pathophysiology of Median Arcuate Ligament Syndrome.- Anatomy of Median Arcuate Ligament Syndrome.- Symptoms, Presentation and Differential Diagnosis of Median Arcuate Ligament Syndrome.- Diagnostic Testing (Duplex Ultrasound, CTA, MRA, Visceral Angiography, Celiac Ganglion Nerve Block) for Median Arcuate Ligament Syndrome.- Conditions Associated with Median Arcuate Ligament Syndrome POTS, MCAS, EDS.- Vascular Compressions and Syndromes Associated with Median Arcuate Ligament Syndrome May Thurner, Nutcracker, and Pelvic Congestion Syndrome.- Gastrointestinal Compression Associated with Median Arcuate Ligament Syndrome Superior Mesenteric Artery Syndrome.- Non Operative Management of Median Arcuate Ligament Syndrome.- Open Surgical Approach for Median Arcuate Ligament Syndrome Technical Considerations.- Laparoscopic Median Arcuate Ligament Release Technical Aspects for a Safe and Effective Procedure.- Robotic Surgical Approach to Median Arcuate Ligament Syndrome Technical Considerations Including Ganglion Resection.- Perioperative Anesthesia Considerations for Median Arcuate Ligament Syndrome.- Arterial Considerations in Median Arcuate Ligament Syndrome.- Median Arcuate Ligament Syndrome in the Pediatric Population.- Intraoperative and Early Post-operative Complications of Median Arcuate Ligament Release.- Long Term Outcomes after Surgery Including Recurrent Median Arcuate Ligament Syndrome.- The Median Arcuate Ligament Syndrome Journey A Patient Perspective.
